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OS II CPA 1 > Ribs > Flashcards

Ribs Flashcards

1
Q

What muscle(s) contract to elevate rib 1?

A

anterior scalene

middle scalene

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2
Q

What muscle(s) contract to elevate rib 2?

A

posterior scalene

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3
Q

What muscle(s) are involved with movement of ribs 3-5?

A

pectoralis minor

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4
Q

What muscle(s) are involved with movement of ribs 6-8?

A

serratus anterior

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5
Q

What muscle(s) are involved with movement of ribs 9 and 10?

A

latissiumus dorsi

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6
Q

What muscle(s) are involved with movement of ribs 11 and 12?

A

quadratus lumborum

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7
Q

What movement do ribs 1 and 2 primarily do?

A

bucket handle

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8
Q

What movement do ribs 3-6 primarily do?

A

pump handle

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9
Q

What movement does rib 7 primarily do?

A

pump handle

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10
Q

What movement do ribs 8-10 primarily do?

A

bucket handle

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11
Q

What movement do ribs 11 and 12 primarily do?

A

caliper

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12
Q

When a group of ribs has an inhalation dysfunction, which rib do you treat?

A

bottom rib

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13
Q

When a group of ribs has an exhalation dysfunction, which rib do you treat?

A

top rib

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14
Q

What is the setup to treat an inhalation somatic dysfunction of the first rib?

A 
pt. supine w/doc seated at head
thumb on anteromedial aspect of ipsi rib
contra hand cradles head in F St Ra
exaggerate and resist rib motions
Repeat 3-5x
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15
Q

What is the set-up to treat an inhalation dysfunction of ribs 2-6?

A 
pt. supine, head of table elevated
sidebend pt towards
heel of ipsi hand on rib
exaggerate and resist rib motions
repeat 3-5x
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16
Q

What is the set-up to treat an inhalation dysfunction of ribs 7-10?

A

pt. supine w/ arms adducted and doc on ipsi side
caudad hand on rib w/ thumb on anterior
exaggerate and resist rib motions
repeat 3-5x

17
Q

What is the set-up to treat an inhalation dysfunction of ribs 11 and 12?

A

pt prone; doc standing contra
hypothenar eminence of cephalad hand on rib
caudad hand grasps ASIS
exaggerate and resists rib motions

18
Q

What are you trying to do to the muscles when treating an inhalation dysfunction?

A

“turn them off”

19
Q

What is the set-up to treat an exhalation somatic dysfunction of ribs 1 and 2?

A

pt supine w/ head rotated 30 away
“woe is me” and doc standing contra
cephalad hand on pt’s palm
caudad hand on superior angle of rib

20
Q

What is the action portion of treating an exhalation dysfunction of ribs 1 and 2 after the “woe is me” set-up?

A

have pt take a deep breath
apply caudad lateral traction w/ caudal hand
have pt flex head and neck 3-5 secs
increase traction and repeat

21
Q

What is the set-up to treat an exhalation dysfunction of ribs 3-5?

A

pt supine w/ ipsi arm flexed
doc stands contra
cephalad hand on pt’s elbow
caudad hand on superior angle of rib

22
Q

What is the action portion of treating an exhalation dysfunction of ribs 3-5?

A 
have pt take a deep breath
apply caudad lateral traction w/ caudad hand
have pt push elbow against doc's hand
3-5 secs
increase traction and repeat
23
Q

What is the set-up to treat an exhalation dysfunction of ribs 6-8?

A

pt supine w/ shoulder flexed to 90
doc stands on ipsi side
cephalad hand on superior angle of rib
caudad hand on pt’s elbow

24
Q

What is the action portion of treating an exhalation dysfunction of ribs 6-8?

A 
have pt take a deep breath
apply caudad lateral traction
have pt push elbow to ceiling
3-5 secs
increase traction and repeat
25
Q

What is the set-up to treat an exhalation dysfunction of ribs 9-10?

A

pt supine w/ arm abducted 90
doc stands ipsi
cephalad hand on pt arm
caudad hand on superior angle of rib

26
Q

What is the action portion of treating an exhalation dysfunction of ribs 9 and 10?

A

have pt take a deep breath
have pt push arm caudally
3-5 seconds
increase traction and repeat

27
Q

What is the set-up to treat an exhalation dysfunction of ribs 11 and 12?

A

pt prone w/ legs sidebent away 15-20
doc stands contra
cephalad hands stabilizes rib
caudal hand on iliac crest

28
Q

What is the action portion of treating an exhalation dysfunction of ribs 11 and 12?

A

have pt take a deep breath
have pt hike hip superiorly toward shoulder
3-5 seconds
increase traction and repeat

OS II CPA 1 (4 decks)

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